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S&I Framework Operating Metrics
Timing Outputs
Participation & Process
Framework Launch Date Jan 7, 2011
First Initiative Launch Date Jan 31, 2011
Elapsed Time (as-of today) 28 months
# Consensus Approved Use Cases 16
# Pilots Committed 33
# Pilot Vendors 42
Total Ballots 11
# Total HL7 Ballot Comments Received 3,128
# HL7 Ballot Comments Resolved 2,494
# Wiki Registrants 2284
# Committed Members 707
# Committed Organizations 538
# Working Sessions Held 1,492
S&I Face to Face meetings 3
Standards Organizations engaged 35
SDS Newsletter Subscribers 201
As of 5/2/2013 1
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S&I Framework Initiatives List
Initiative (chronological)
Transitions of Care
Laboratory Results Interface
Provider Directories
Certificate Interoperability
Query Health
Data Segmentation for Privacy
Electronic Submission of Medical Documentation
Initiative (chronological)
Public Health Reporting (Community-led)
Longitudinal Coordination of Care
Lab Orders Interface
Health eDecisions
Automate Blue Button
Structured Data Capture
Prescription Drug Management Program
Status Key:ActiveMaintenanceOn hold
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S&I Initiative Portfolio Snapshot
Transitions of Care
Query Health
Pre-Discovery Use Case Harmonization RI, Test & Pilot Evaluation
Lab Results Interface
Data Segmentation for Privacy
esMD
Longitudinal Coordination of Care
Public Health Reporting
Laboratory Orders Interface
Direct Project(S&I Archetype)
Health eDecisions
Blue Button Plus
Companion Guide Completed
IG/Errata Published, 2014 CEHRT In Progress
Pilots Underway, QRDA III Published, HQMF in Comment Reconciliation
Pilots in Evaluation, IG in preparation for balloting
Community-Led; Consensus for Data Harmonization profiles closed on 1/20/13; community will be meeting on a monthly basis
esMD AoR Level 1 IG is now in E2E review; AoR Level 2 UC achieved consensus; IG consensus closed for UC 1, UC 2, and Prov. Dirs. Guidance IG’s
LOI IG ballot ended on 1/7/13 and ballot reconciliation conts; Lab pilot efforts include LOI, and eDOS
Use Case 1: Knowledge Artifact Sharing Model, Schema and IG was approved by HL7, UC 1 now in Pilots. Use Case 2: CDS Guidance Service achieved consensus
Two WGs complete (Payer & Clinical Content); Two WGs (Push & Pull) in progress, at various stages of IG development
In production
Structure Data Capture Project Charter Consensus complete; Use Case in final review with planned completion in May; Standards Development and Harmonization kicked off 5/2
S&I Initiative Portfolio Snapshot
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Community-Led initiative; 1st UC Complete; PAS SWG Complete; Created 'Care Plan' Glossary for HITPC & HL7; Use Case 2: Care Plan Exchange is in development. Transition of Care Implementation Guide(s) being developed for HL7 Fall Ballot.
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S&I Framework Pilots
• S&I Pilots website indicates geographically where all pilots are located
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Recent S&I Highlights – SDC
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Structured Data Capture - SDC
The Structured Data Capture (SDC) initiative will develop and validate a standards-based data architecture so that a structured set of data can be accessed from EHRs and be stored for merger with comparable data for other relevant purposes.
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Structured Data Capture - SDCThese include:
• The electronic Case Report Form (eCRF) used for clinical research including Patient Centered Outcomes Research (PCOR)
• The Incident Report used for patient safety reporting leveraging AHRQ ‘Common Formats’
• The Surveillance Case Report Form used for public health reporting of infectious diseases
• The collection of patient information used for determination of coverage, as resources permit.
Recent S&I Highlights – SDC
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Structured Data Capture - SDCSDC has launched a "Summer Concert Series" to solicit input from industry on current practices and tends. The schedule includes:
• PROMIS (April 25)• PCORI (May 2)• USHIK (May 9)• Duke (May 16)• CAP (May 23)• CDISC/IHE (May 30)• CIMI (June 6)
Recent S&I Highlights – SDC
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Recent S&I Highlights – PHRI
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Public Health Reporting InitiativeThe final consensus-based documents have been published on the PHRI website:
• Public Health Reporting RI Framework• PHRI Clinical Document Architecture (CDA) Guide
PHRI is collaborating with ONC Initiatives to share with the Structured Data Capture Initiative (SDC) the experiences and lessons learned from the CDA for Public Health Pilot Projects that used Retrieve Form for Data Capture (RFD) as a transport for public health reporting.
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Direct
The development of trust bundle publishing tools is proceeding rapidly. Three pilot communities have signed up to pilot publishing and consumption of trust bundles: Western States Consortium, ABBI, and DirectTrust.
Recent S&I Highlights – Direct
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Laboratory Orders Initiative – LOI
371 of 400 comments resolved. LOI is on track to publish its Implementation Guide (IG) by June 15th. ONC and NIST are working closely together and plan to release the balloted IG and test framework in tandem.
Recent S&I Highlights – LOI